Incidental cancer in colectomy specimens from patients with familial adenomatous polyposis: single centre experience and literature review.
In: International Journal of Colorectal Disease, Jg. 38 (2023-03-23), Heft 1, S. 1-5
Online
academicJournal
Zugriff:
Background: Since cancer development is inevitable in patients with familial adenomatous polyposis (FAP), we aimed to determine the incidence of incidental malignancy in prophylactic colectomy specimens. Methods: The files of patients who underwent prophylactic surgery for FAP between 2010 and 2020 were retrospectively reviewed. The incidence of incidental malignancy in histopathological specimens was examined and a comprehensive literature review was made. Results: Fifty-five patients were included in the study, of whom 30 patients had a diagnosis of primary malignancy. Prophylactic colectomy was performed on 25 patients. The pathology results indicated that the specimens were benign in 12 patients (48%) and revealed carcinoma in situ in 11 patients (44%). Incidental malignancy was detected in 2 patients (8%). In the literature review, there were 243 patients who underwent prophylactic colectomy and incidental cancer was detected in 25 patients (10.3%) with the stages of 1 (7.4%), 2 (2.1%), and 3 (0.8%), respectively. Conclusions: Incidental cancer is not rare in patients who have undergone prophylactic colectomy for FAP. Hopefully. they are usually at early stages and unexpected advanced cancers are seen rarely. [ABSTRACT FROM AUTHOR]
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Incidental cancer in colectomy specimens from patients with familial adenomatous polyposis: single centre experience and literature review.
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Autor/in / Beteiligte Person: | Uylas, Ufuk ; Gundogdu, Ramazan ; Sumer, Fatih ; Samdanci, Emine ; Kayaalp, Cuneyt |
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Zeitschrift: | International Journal of Colorectal Disease, Jg. 38 (2023-03-23), Heft 1, S. 1-5 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 0179-1958 (print) |
DOI: | 10.1007/s00384-023-04370-4 |
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